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1770169005
AMANDA S SULLIVAN
WINSTON SALEM, NC
NPI
1770169005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A15051)
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
Ms. AMANDA S SULLIVAN LMHCA
2852 WESLEYAN LN
WINSTON SALEM, NC 27106-5848
Phone number: 336-926-0702
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Mailing Address
Ms. AMANDA S SULLIVAN LMHCA
2852 WESLEYAN LN
WINSTON SALEM, NC 27106-5848
Phone number: 336-926-0702
Copy
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